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Fatigue is one of the most common and disabling symptoms of many neurological disorders. Fatigue can create profound barriers to maintaining employment, participating in social and leisure activities, and engaging in self-care behaviors.

Our research team is focused on how to leverage biosensors, ecological momentary assessments, and blood and digital biomarkers to understand the underlying causes of fatigue and develop personalized interventions to reduce the impact of fatigue on daily activities.

Our most recent work funded by the Patient-Centered Outcomes Research Institute (PCORI) focuses on testing telerehabilitation interventions aimed at promoting self-management skills to reduce the impact of fatigue on daily activities in people with multiple sclerosis (MS).

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We have now completed the study. If you are interested in conducting a secondary analysis with the data collected from this PCORI-funded study, please .

People with neurological conditions often have comorbidities that can accelerate functional declines. A common comorbidity in people with neurological conditions is obesity. Obesity can initiate and accelerate a cycle of functional declines. It can adversely affect mobility, fatigue, and mood, which subsequently increases barriers to engaging in healthy behaviors. Our research team focuses on developing and testing novel weight management interventions.

Our most recent work focuses on evaluating and refining a novel weight management interventions called SystemCHANGE developed by Dr. Shirley M. Moore. SystemCHANGE is based on ecological frameworks of behavior change, which shifts the focus from changing cognitions to changing the environment in which the behavior is performed. The SystemCHANGE weight management intervention focuses on promoting a healthy diet, engaging in physical activity and exercise, and supporting self-management behaviors among people with multiple sclerosis or stroke.

Self-management behaviors can play a vital role in improving the quality of life among people with disabling neurological conditions. Self-management behaviors are tasks and skills that are needed to effectively manage a disease. Self-management tasks and skills include problem solving, decision making, utilizing resources, communicating with others, taking action, and self-tailoring. Our research team focuses on using quantitative, qualitative and mixed methods to understand how to promote and support self-management behaviors.

Our most recent research focuses on identifying the factors that influence engagement in fatigue self-management behaviors (e.g., activity pacing, exercise, physical activity, energy conservation, and cognitive behavioral techniques) among people with multiple sclerosis.

Self-management and rehabilitation interventions that are delivered remotely in a person's home can increase access to care and may provide a low cost alternative to costly in-person visits. Commonly used technologies in telerehabilitiation include webcams, portable virtual reality platforms, mobile applications, videoconferencing, and video game consoles. Our research team focuses on evaluating the usability of this technology, developing functional assessments that can be delivered remotely, and discovering optimal ways of tailoring and personalizing telerehabilitiation interventions to the characteristics of each participant.

Our most recent research focuses on comparing delivery modes of telerehabilitation interventions that improve the quality of life of people with neurodegenerative disease and their family caregivers.